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Individual

AMANDA HOOVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
456 CHARLES H DIMMOCK PKWY STE 5, COLONIAL HEIGHTS, VA 23834-2936
(804) 520-4088
Mailing address
456 CHARLES H DIMMOCK PKWY STE 5, COLONIAL HEIGHTS, VA 23834-2936
(804) 520-4088

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411687
VA

Other

Enumeration date
10/02/2007
Last updated
10/02/2007
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